Abstract

Background: Anaemia is a condition where there is a decrease in total number of RBC or decrease in haemoglobin concentration.(1) According to the Oxford University, in 2019, the global prevalence of Anaemia in all ages was 22.8% (95% CI: 22.6-23.1) (2). With this magnitude of disease burden, It is important to diagnose anaemia before its full blown symptoms appear. This study has been done to emphasize on Red Cell Indices as a useful tool to diagnose anaemia in a patient who still fall under normal range of Haemoglobin. Method: It’s a prospective observational study in which 100 Heathy Adults were observed for a period of 6 months. Their basic demographic data has been collected, and they were subjected to routine haematology and Biochemistry investigations. Appropriate therapy was given to them and follow-up was done after 2 months and their respective data was compared. Results: Out of 100 Adults, 75% have Low Normal Haemoglobin level. After intervention there was a signicant difference between mean Pre-treatment and mean Post-treatment Haemoglobin concentration (14.176 to 14.943), Red Blood Cell Count (4.696 to 5.272), MCV of macrocytic Anaemia (108.99 to 89.32), MCV of dimorphic Anaemia (89.80 to 83.21), and MCH (30.24 to 28.63). Conclusion: In our study, we noticed that even if an individual’s Haemoglobin fall under normal range, he/she might be in PreAnaemic state where his/her Red-cell Indices will help us to early detect and treat the individual in order to decrease the morbidity and incidence of anaemia.

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